TERRY H GOMBERT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057946

License Status

NOT RENEWED

Business

First Name

TERRY H

Last Name

GOMBERT

Business Name

TERRY H GOMBERT

Original Issue Date

06/24/1972

Effective Date

06/24/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005